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Home My WebLink AboutX2020-0271 - Permits (2)City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 is Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM 111111111111111111111111111111111111111111111111111111 COMB Permit: X2020-0271 x 2 0 2 e 9 2 7 1 Project No : 2185-2019 Issued Date : 07/0612020 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 07/07/2023 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 304 GOLDENROD AVE NS Description: DEMO FRONT UNIT OF DUPLEX 3 BEDROOMS 2355 SF. SEWER CAP INCLUDED Legal Desc.: CORONA DEL MAR LOT 4 BLK 234 NELY 20 FT(AND SWLY 20 FT LOTS BLK 234 Owner: 304 GOLDENROD LLC Address: 304 GOLDENROD AVE CORONA DEL MAR, CA 92625 Phone: Applicant: GLASS NANCY Address: 2900 BRISTOL ST A203 COSTA MESA CA 92626 Phone Code Edit: 2019 Type of Construction: VB Occupancy Group: R3 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: N $7,000.00 Building Permit Fee: $114.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $1,603.26 PROCESSED BY: ZONING APPROVAL: Contractor: Address: Phone Con State Lic: Lic Expire: Bus Lic: Lic Exp Date: NICHOLSON CONSTRUCTION CO Architect: t+ k 1 9" s; E R 1 CORPORATE PLZ #110 Address: it NEWPORT BEACH CA 92660 949.872-6637 Phone: State Lic: 660295 12/31/2020 BT98032850 0413012021 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9074255 Expire: 10/0112020 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: I 3arkino Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $108.00 $0.00 $0.00 $10.26 Plan Check Fee: Engineer: Address: �Pnhone: iFiocTiON to SE �® ce" tM Address: Phone: p� c�+ //��T� 1gQAYS SpBCJal�oAe6roli5: TiIGH DENSITY HAULER: JD DEMO Fire Hazard Zone : N Planning Department - Plan check Fee: Fair Share : SJH Trans : In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: eeee o e eeee eoe e e m •o e e•mm m e o•mm mmoo 0 0 om m m 00 m o e o eo omen o m 0000 $0.00 $0.00 $26.00 $217.00 $1,127.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1,603.26 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: o n oeeeoc 0 0 omoco 0 mm000 000000 o e o a o 000mco m mm000 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) Iction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Ifessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, ;iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the movements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or moved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not )ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and �fessions Code, is available upon request when this application is submitted or at the following Web site:hltp://www.leginfo.ca.gov/calaw.html. nature of PrpjfgVQwner or Authorized Agent Date :EN$ED CORTRACTOR'S DECLARATION mebxaffirm Q gaT)enalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profess f Code, ar)d,my license is in full force I effect. License Class License No Dat_t?—i�, _ Contractor Signatu� K2.P S?511�� l COMPENSATION DECLARATION v\\ WING: FAILURE To SBCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE IT CR:FOMPEN%4 U(ri, IIAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. .rAUy affirm uryjpt penalty of perjury one of the following declarations: I have and ill Fmintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN ormance of thEbwork for which this permit is issued. .Policy No. and 41? n1pnain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' carrierend policy number are: is of Agent •' certify that, in the f if I should becomf�(( lature of Applican . Policy Number Date of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agref the workers' c rnp nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 7 roilrrrnu� meby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. 1 agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to nter the above -identified property for inspection purposes. `, �� L nature of Prooertv Owner or Authorized ADent �/ Print Prooertv Owner's or Authorized ADent's Name% ACTION I DATE BY REGULATIONS PARTDECLARATION OF 0MPLIANCE WITH CODE OF 61 OF TITLE 40 AND AQMD RULE AL I FOR OFFICE USE ONLY PERMIT EXPIRED I LIJ ISUBM D ASBESTOS NOTIFICATION TO PERMIT CANCELLED A PERMIT EMENDED MD PERMIT FINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOIQT� ,.,, OCCUPANCYISSUED cIrNATIIRF•eA lC C_Y D e�